Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Butterfly Retreat Counseling PLLC

Butterfly Retreat Counseling PLLC was paid $1.11M by Medicaid between Jul 2021 and Dec 2024, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 98% of everything it billed.

33Billing provider infoBUTTERFLY RETREAT COUNSELING PLLC
LAURINBURG, NC 28352
33aNPI1285242990assigned 07/20/2020
28Total paid$1.11M
24GClaims13,405
24DCodes billed3
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in North Carolina

Rank by total paid#52 of 222
Median peer was paid$168K
This provider vs. median6.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration98% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20211,614$92K
20223,710$287K
20234,477$355K
2024incomplete3,604$375K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 98% 12,999 2,848 $1.09M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 319 51 $10K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 87 72 $8K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHAYWOOD, LINDSAY (OWNER)